thank you so much for that really kind introduction. i'm honored, and again, i want to thank the conference organizers for inviting me to be here today. in july of 1938, the roosevelt administration organized a national conference on health care reform. the great depression had been going on for nearly a decade, fdr signed the social security act and the fair labor standard act in to law, but the united states still had no national program for addressing the health needs of the people. the 1938 health conference was beginning of something different. instead of inviting only doctors to speak, the conference for the first time including members of labor unions, farm groups, and civil rights organizations.